Petersen, Henry

Petersen, Henry is an sole proprietor health care provider with primary practice located at 5829 Kenwood Ave , Dallas TX 75206-5589. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Petersen, Henry can be contacted via phone (818) 746-6505.

Contact Information

Primary practice address
5829 Kenwood Ave Dallas TX 75206-5589
Phone: (818) 746-6505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1346781275
LBN Legal business name Petersen, Henry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2017
Last updated Mar 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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